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  • About CPOC
    About CPOC
    • What is Perioperative Care?
      What is Perioperative Care?
      • The Case for Perioperative Care
    • CPOC Partners
      CPOC Partners
      • CPOC Board
      • CPOC Director
      • CPOC Advisory Group
    • Strategy and vision
      Strategy and vision
      • Current Workstreams
    • CPOC Policy
      CPOC Policy
      • CPOC Manifesto: a blueprint for NHS efficiency
      • Proving the Case for Perioperative Care
      • Multidisciplinary Working in Perioperative Care
      • Perceptions of perioperative care in the UK
  • News
    News
    • News
      News
      • Launching the CPOC workforce position paper – November 2024
    • CPOC Newsletter
    • Follow us on X
  • For Patients
    For Patients
    • What is Perioperative Care?
    • Your Perioperative Journey
    • Shared Decision Making
    • Fitter, Better, Sooner Toolkit
    • Patient Information Leaflets
  • Guidelines & Resources
    Guidelines & Resources
    • Guidelines
      Guidelines
      • Anaemia in the Perioperative Pathway
      • Perioperative Management of Obstructive Sleep Apnoea in Adults
      • Perioperative Care of People Living with Frailty
      • The National Safety Standards for Invasive Procedures (NatSSIPs)
      • Perioperative Care of People with Diabetes
      • Day Surgery
      • Enhanced Perioperative Care
      • CPOC Endorsed Guidelines, Publications & Projects
      • Prepared for Surgery, Ready for Recovery: Supporting Patients from Pre-op to Discharge
    • Resources
      Resources
      • SipTilSend
      • Assessment Tools
      • National Safety Standards for Invasive Procedures Webinar
      • Patient Information Leaflets
      • Shared Decision Making for Clinicians
      • The Key to reducing waiting lists
      • Useful Links
      • Virtual Consultations
    • Health Services Safety Investigation Body (HSSIB) Reports
    • Perioperative optimisation: Top seven interventions
      Perioperative optimisation: Top seven interventions
      • Alcohol moderation
      • Assessment, optimisation, shared decision making
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      • Mental wellbeing
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      • Practical preparation
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Nutrition in perioperative care - preparation for surgery and recovery after surgery

Professor Scarlett McNally's blog on nutrition in perioperative care - preparation for surgery and recovery after surgery

Exercise in Preparation for Surgery

A blog from Scarlett McNally on the importance of exercise in preparation for surgery

Alcohol moderation

CPOC's Deputy Director talks about the importance of moderating alcohol consumption in perioperative care

The importance of perioperative optimisation from a pre-operative assessment pharmacist's perspective

The CPOC fellow talks about this important subject from a pre-operative assessment pharmacist's perspective

Supporting patients with their psychological preparation for surgery and mental health optimisation

Prof Scarlett McNally talks about helping patients with psychological preparation for surgery

The benefits of preoperative low carbohydrate diets alongside lifestyle changes

A blog by Dr Shaun Scott and Prof Scarlett McNally on The benefits of preoperative low carbohydrate diets alongside lifestyle changes.

Setting the PACE: understanding surgical postponements and cancellations.

A Blog by Judith Hendley and Emma McCone NHS England about PACE: a collaborative project to understand postponements and cancellations of surgery

Mental Wellbeing

Dr. Sunil Kumar and Dr. Toni Brunning, lifestyle medicine physicians and anaesthetists who want to help you get healthy, even before you reach the operating theatre.

Eating, Drinking and Smoking

There are many changes you can make to reduce the risks of surgery. Even small changes can make a big difference.

Weight

If you are overweight, losing weight can help reduce the stress on your heart and lungs. In addition it can help to:

  • lower your blood pressure
  • improve your blood sugar level
  • reduce pain in your joints
  • reduce your risk of blood clots after surgery
  • reduce your risk of wound infections after surgery
  • allow you to exercise more easily.

Who can help me?

Your GP surgery should be able to give you some advice and information on healthy eating, any local weight loss schemes and exercise opportunities in your area. Some councils also have schemes that can support you so it is also worth looking at your local council website or contacting them. NHS Choices can offer useful help.

You may find it helpful to join a weight loss class. In some areas NHS health trainers may be available to help you.

It has been shown that people who improve their lifestyle in the run up to surgery are much more likely to keep up these changes after surgery. This can have a really positive impact on their health in the long term.

Alcohol

Alcohol can have many effects on the body, but importantly it can reduce the liver’s ability to produce the building blocks necessary for healing. Make sure you are drinking within the recommended limits, or lower, to improve your body’s ability to heal after surgery.

Who can help me?

You can find useful information on how to reduce alcohol and the benefits to you on NHS Choices. Also see the Drink Aware website.

Smoking

Stopping smoking is hard, but the good news is that quitting or cutting down shortly before surgery can reduce length of stay in hospital, improve wound healing and lung function. Preparing for surgery offers a real opportunity to commit to stopping smoking.

Who can help me?

  • Your GP practice will be able to offer help in reducing or stopping smoking, so ask them about the best options for you.
  • There may be charities or support groups in your local area.
  • Action on Smoking and Health (ASH) is a public health charity that works to reduce the harm caused by smoking. They have helpful advice on quitting.

Feeling anxious: Reducing paediatric perioperative anxiety

Dr Alex Norris talks about some key areas that can be improved in everyday practice

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